Active NPI
Danielle R Fritz, PHARMD
- Pharmacist
- Blaine, MN
National Provider Identifier
1578179073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 123467
- Practice address
- 12595 Central Ave NE
Blaine, MN 55434-4806 - Phone
- (763) 767-4329
- NPI assigned
- Sep 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 123467 | MN | Primary |
Addresses
Primary practice location
12595 Central Ave NE
Blaine, MN 55434-4806
Mailing address
12595 Central Ave NE
Blaine, MN 55434-4806
Phone (763) 767-4329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123467 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc | Past | Accepting new patients | |
| Supervalu Pharmacies Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600560000000",
"number": "1578179073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12595 CENTRAL AVE NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554344806",
"telephone_number": "763-767-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12595 CENTRAL AVE NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554344806",
"telephone_number": "763-767-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZ",
"first_name": "DANIELLE",
"middle_name": "R",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-20",
"last_updated": "2020-09-20",
"certification_date": "2020-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "123467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.